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41. Clinical Practice Guidelines on Falls Prevention among Older Adults living in the Community

and balance deficit such as vertigo/giddiness, arthritis, Parkinson’s disease and strokes can predispose older adults to falls. Sensory impairment including visual impairment and hearing loss also increases risk of falls, as do cognitive impairment and dementia. Polypharmacy and the use of certain medications have been associated with an increase in the risk of falls. Drugs that have been implicated include anti-hypertensives, hypnotics, tranquilisers/sedatives, anti-depressants and anti-arrhythmics. c

2015 Ministry of Health, Singapore

42. Early Management of Head Injury in Adults

ecchymosis (“Battle’s sign”), cerebrospinal fluid leakage either from the nose [cerebral spinal fluid (CSF) rhinorhoea] or ear (CSF otorhoea), or seventh and eighth cranial nerves deficits causing facial paralysis and hearing loss respectively.5 Early Management of Head Injury in Adults 3. CLASSIFICATION OF SEVERITY The severity of head injury can be classified according the presenting Glasgow Coma Score (GCS): 9 level III • mild head injury (MHI): GCS 13 - 15 • moderate head injury: GCS 9 - 12 • severe (...) structural changes in the brain. One or more of the following conditions from anatomical and physiological changes must be present in patients with head injury: 8 1. Physiological changes • observed or self-reported loss of or decreased level of consciousness (any duration) • any loss of memory (amnesia) of events immediately before or after the injury • any alteration in mental state or neuropsychological abnormality at the time of the injury [such as loss of consciousness (LOC), confusion

2015 Ministry of Health, Malaysia

43. Management of Nasopharyngeal Carcinoma

as soon as possible to rule out nasopharyngeal carcinoma : ? painless neck lump (unilateral/bilateral) ? blood-stained nasal discharge/saliva ? unilateral ear block or hearing loss ? headache ? facial numbness ? diplopia Investigations Recommendation 2 • Nasopharyngoscopy should be performed in all patients suspected of nasopharyngeal carcinoma (NPC). • NPC should be diagnosed by histopathological examination of the nasopharynx. • In patients presenting with cervical lymphadenopathy, full head (...) nasopharyngeal carcinoma : ? painless neck lump (unilateral/bilateral) ? blood-stained nasal discharge/saliva ? unilateral ear block or hearing loss ? headache ? facial numbness ? diplopia4 CPG Management of Nasopharyngeal Carcinoma 2016 4. INVESTIGATION 4.1 Baseline Investigations There is no retrievable evidence on baseline investigations for NPC patients. The established baseline investigations which include full blood count, renal profile, random blood sugar, liver function test, chest X-ray

2016 Ministry of Health, Malaysia

44. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

difficulties in dealing with complex demands and environments, especially those that involve social interaction. These difficulties can be exacerbated by the societal reaction to individuals manifesting aberrant behaviours, which includes stigma and social exclusion. Interactions between these adverse factors can cause the ‘social breakdown syndrome’ (Gruenberg, 1974) – the cluster of secondary and tertiary impairments in schizophrenia that result in a loss of social support networks and greatly diminished (...) with a better long-term outcome (Craig et al., 2004; Ten Velden Hegelstad et al., 2012). A 2010 Australian national survey (Morgan et al., 2014) revealed that 6% of participants with schizophrenia experienced a single episode of psychosis followed by good recovery, 54.8% experienced multiple episodes with good or partial recovery between the episodes, and 38.8% of participants showed an unremitting continuous course with deterioration. Despite the high risk of chronic disability, loss of developmental

2016 Royal Australian and New Zealand College of Psychiatrists

45. Guidelines for the Management of Genital Herpes in New Zealand

distribution, S3 and 4, of the sacral nerve and the bladder detrusor muscle. Erectile dysfunction, dull or severe burning pain in the anogenital region, loss of sensation and hypersensitivity can occur down the thighs and the lower legs. The condition is usually self-limiting and tends to resolve in 1–2 weeks; in the meantime, supportive cares should be offered. Symptoms may sometimes persist for weeks and rarely severe intractable pain may require opiate analgesia. • HSV-2 myelo-radiculitis, associated

2017 New Zealand Sexual Health Society

46. Clinical Practice Guidelines on Obesity

for weight loss 63 11 Treatment: Medical treatment of obesity and related morbidities 65 12 Treatment: Surgical and related options 71 13 Special focus: Children and adolescents 81 14 Special focus: Pregnancy 95 15 Clinical quality improvements 100 Annex A – Caloric and nutritional information for local select foods 101 Annex B – Tools and resources for information and communication technology (ICT) and weight loss 103 Annex C – Glossary for behavioural modifications and related therapy 106 References (...) approach towards managing weight loss and weight maintenance, we aim to improve the health outcomes for both children and adults as they journey towards healthy living. Associate Professor Benjamin Ong DIRECTOR OF MEDICAL SERVICESForeword The fundamental cause of overweight and obesity is an energy imbalance between calories consumed and calories expended. Over the years, the Health Promotion Board (HPB) has embarked on a multi-sectorial strategy targeted at modifying risk factors such as diet

2016 Ministry of Health, Singapore

47. Management of Stroke Rehabilitation

in Patients with Stroke and Transient Ischemic Attack [23] Abbreviations: AHA: American Heart Association; ASA: American Stroke Association Sidebar 2: Assessment of Impairments and Disabilities ? Assessment of impairments • Auditory/hearing • Bowel and bladder function • Cognition • Communication • Emotion and behavior • Inattention/neglect • Motor/mobility • Swallowing and nutrition • Tactile/touch • Vision function and formal visual field ? Assessment of barriers to participation in therapy • Cognitive (...) /DoD Clinical Practice Guideline for the Management of Stroke Rehabilitation July 2019 Page 6 of 170 Disability from stroke can present in a myriad of ways depending on the affected area(s) of the central nervous system. The most common presentations include focal weakness and sensory disturbances, speech and swallowing impairments, vision loss or neglect, cognitive problems with inattention or memory loss, as well as emotional difficulties with mood or anxiety. The early management of stroke

2019 VA/DoD Clinical Practice Guidelines

48. Tinnitus: assessment and management

/Deaf or who have a Tinnitus questionnaires for people who are d/Deaf or who have a severe-to-profound hearing loss severe-to-profound hearing loss What is the most clinically and cost-effective tinnitus questionnaire to assess tinnitus in people who are d/Deaf or who have a severe-to-profound hearing loss? Full details of the research recommendation are in evidence review E: questionnaires to assess tinnitus. Relaxation strategies for children, young people and adults Relaxation strategies (...) for children, young people and adults Are relaxation strategies clinically and cost effective for the management of tinnitus for children, young people and adults? Full details of the research recommendation are in evidence review A: tinnitus support. Amplification devices for people who are d/Deaf or who have a Amplification devices for people who are d/Deaf or who have a severe-to-profound hearing loss severe-to-profound hearing loss What is the clinical and cost effectiveness of amplification devices

2020 National Institute for Health and Clinical Excellence - Clinical Guidelines

49. Management of Poisoning

be treated with oxygen and if available, non-invasive ventilation. Intubation and mechanical ventilation with positive end-expiratory pressure (PEEP) may be necessary, but should be avoided if possible (pg 102). Grade D, Level 3 D Intravenous ? uids should be administered as necessary to replace insensible ? uid losses from hyperpyrexia, vomiting, diaphoresis, and elevated metabolic rate (pg 102). Grade D, Level 4 D There should be judicious administration of ? uids in the presence of suspected pulmonary

2020 Ministry of Health, Singapore

50. Interpretation of clinical trial results: a committee opinion

(a diagram is strongly recommended) 13a For each group, the numbers of participants who were randomly assigned, received intended treatment, and were analyzed for the primary outcome 13b For each group, losses and exclusions after randomization, together with reasons Recruitment 14a Dates de?ning the periods of recruitment and follow-up 14b Why the trial ended or was stopped Baseline data 15 A table showing baseline demographic and clinical characteristics for each group Numbers analyzed 16 Foreachgroup (...) of a trial. Example: The study was a double-blinded, multicenter randomized trial. The primary outcome was live birth during the treatment period, de?ned as delivery of any viable infant (4). Live birth is the most relevant and meaningful primary outcome in an infertility trial and previous randomized studies of letrozole were limited duetosmallsample size and inconsistent studydesign. 3.Was follow-upsufficiently long andcomplete? Loss to follow-up of more than 20% of subjects is likely to seriously

2020 Society for Assisted Reproductive Technology

51. European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness (Full text)

, . Confounding factors such as motor, visual, auditory and/or cognitive impairments (e.g. language, memory, flexibility, attention) , intubation, sedation and the setting (e.g. presence or absence of relatives) , should be taken into consideration . One study suggests that the presence of family members might increase chances of detecting visual responses . PICO 5 Should behavioral assessment of the level of consciousness be repeated (and, if so, how often) to diagnose the level of consciousness in patients (...) to consider include the auditory, salience, executive and fronto‐parietal. PICO 4 Should passive fMRI paradigms be used to diagnose signs of covert consciousness in patients with DoC? Sixteen studies were identified with 313 patients examined using passive fMRI paradigms , , - . Relative risk for detection of preserved connectivity in MCS compared to coma or VS/UWS was 1.69 (95% CI 1.38–2.07; P = 0.0001). Research recommendation: Given the small effect and the heterogeneity of the employed paradigms

2020 European Academy of Neurology PubMed abstract

53. A palliative approach to care in the last 12 months of life

of the contents at the time of publication, neither the authors nor the Registered Nurses’ Association of Ontario (RNAO) gives any guarantee as to the accuracy of the information contained in them or accepts any liability with respect to loss, damage, injury or expense arising from any such errors or omission in the contents of this work. Copyright With the exception of those portions of this document for which a specific prohibition or limitation against copying appears, the balance of this document may (...) BPG, search by keyword or browse by topic. We are interested in hearing your feedback on this BPG and how you implemented it. Please share your story with us at RNAO.ca/contact. * Throughout this document, terms that are marked with a superscript G ( G ) can be found in the Glossary of Terms (Appendix A). 6 REGISTERED NURSES’ ASSOCIATION OF ONTARIO BACKGROUND A Palliative Approach to Care in the Last 12 Months of Life Purpose and Scope Purpose RNAO BPGs are systematically developed, evidence-based

2020 Registered Nurses' Association of Ontario

54. Care of the Hospitalized Patient with Acute Exacerbation of COPD

milliseconds), or taking concomitant medications that cause prolongation of the QT interval. 41 The decision to start prophylactic azithromycin should ideally be made in conjunction with the patient’s PCP and/or outpatient pulmonologist, as patients will need close follow-up due to the potential adverse events that are associated with azithromycin therapy (e.g. QT prolongation, hearing loss). 16 UMHS Chronic Obstructive Pulmonary Disease May 2016 For additional information about prophylactic azithromycin

2016 University of Michigan Health System

55. Clinical Practice Guideline on Management of Hip Fractures in the Elderly

-Cephallomedullary Device Versus Sliding Hip Screw: Mental State 214 Table 89. Advanced Imaging-Cephallomedullary Device Versus Sliding Hip Screw: Complications 214 Table 90. Advanced Imaging-Cephallomedullary Device Versus Sliding Hip Screw: Other Outcomes 217 Table 91. Quality Table of Treatment Studies for Advanced Imaging5 220 Table 92. Pharmacological Prophylaxis Versus Control: Blood Loss 233 Table 93. Pharmacological Prophylaxis Versus Control: Complications 237 Table 94. Pharmacological Prophylaxis (...) Versus Control: Complications: DVT/VTE/PE 240 Table 95. Pharmacological Prophylaxis Versus Control: Mortality 246 Table 96. Pharmacological Prophylaxis Versus Control: Hospital Stay 249 Table 97. Mechanical Prophylaxis Versus Control: Complications 250 Table 98. Mechanical Prophylaxis Versus Control: DVT/VTE/PE 251 Table 99. Pharmacological Timing: Blood Loss 251 Table 100. Pharmacological Timing: DVT/VTE/PE 252 Table 101. Pharmacological Timing: Mortality 252 Table 102. Pharmacological Versus

2014 American Academy of Orthopaedic Surgeons

56. Appropriate prescribing of psychotropic medication for non-cognitive symptoms in people with dementia

to their uses, effects, and modes of action of drugs. Psychotropic Chemical substances that action brain function affecting mood and behaviours. Psychosis An abnormal condition of the mind that results in difficulties telling what is real and what is not. Symptoms may include false beliefs and seeing or hearing things that others do not see or hear. Other symptoms may include incoherent speech, or behaviour that is inappropriate for the situation. There may also be sleep problems, social withdrawal, lack

2019 National Clinical Guidelines (Ireland)

58. Treatment for Insomnia and Disrupted Sleep Behavior in Children and Adolescents with Autism Spectrum Disorder

serves on the editorial advisory board for the Journal of Autism and Developmental 15 Disorders; performs grant review for the NIH; receives publishing royalties from Brookes 16 Publishing Company for Communication and Symbolic Behavior Scales and the SCERTS Model: 17 A Comprehensive Educational Approach for Children with Autism Spectrum Disorders; and 18 received financial support from the NIH NIMH, NIH NICHD, NIH National Institute on 19 Deafness and Communication Disorders, the Centers for Disease (...) Control and Prevention, and the 20 US Department of Education. 21 22 10 M. Wiznitzer serves on the editorial boards of Lancet Neurology and the Journal of Child 1 Neurology; received honoraria as a speaker for AAN and AAP meetings; has given expert 2 testimony for medical malpractice proceedings and the Vaccine Injury Compensation Program— 3 Expert Witness for the US Department of Health and Human Services (written opinions and 4 hearing testimony); and prepared an affidavit for a medical malpractice

2020 American Academy of Neurology

59. 2019 HRS expert consensus statement on evaluation, risk stratification, and management of arrhythmogenic cardiomyopathy (Full text)

evaluation should include a 3-generation family tree with an emphasis on premature cardiovascular events (eg, sudden death, HF) and associated cardiac (eg, arrhythmias, conduction disease) and noncardiac (eg, skeletal myopathy, renal failure, auditory/visual defects) phenotypes. Mutation analysis, endomyocardial biopsy, and electrophysiology studies (EPSs) are indicated in the particular clinical circumstances discussed below. 2.2. Arrhythmogenic right ventricular cardiomyopathy ARVC is the best

2019 International Society for Heart and Lung Transplantation PubMed abstract

60. Staff and associate specialist (SAS) grade handbook

Portland Place for their help and support. Especially I would like to thank Dr Kathleen Ferguson (President), Dr Paul Clyburn (Past President) and Dr Olivera Potparic (previous Chair of the SAS Committee) for their help, support and advice. Finally, as a membership organisation, if there is anything else you would like the SAS Committee to consider or to include in future editions of the handbook then we would love to hear from you, email sas@anaesthetists.org. Dr Thomas James Chair of SAS Committee (...) mechanisms and organisations Association Link Scheme In addition to the SAS Link Scheme, the Association’s Link Scheme aims to maintain links and facilitate communication between members and the Association. This is a two-way process and not only allows the dissemination of important information to the members, but also allows us to hear your views. Your Link is one of your representatives to the Association. You can find the details of your Link by logging into your Association online member account. 6

2020 Association of Anaesthetists of GB and Ireland

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